| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $242.02 | $1,295.00 | $3,992.06 | |
Aetna
| Facility | 52 | $75.75 | $138.00 | $303.85 |
BCBS
| Facility | $795.20 | $795.20 | $795.20 | |
Cigna
| Facility | $819.48 | $819.48 | $1,834.78 | |
United
| Facility | $610.00 | $1,305.00 | $3,046.00 |